Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster
Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, ra...
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Veröffentlicht in: | Journal of traumatic stress 1994-10, Vol.7 (4), p.601-624 |
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description | Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, race, and number of children. A clinical interview and physiological measurements (blood pressure, pulse, and cortisol level) were taken, the MMPI‐2, IES Scale, Mood Scale, Environmental Worry, Perceived Social Support, and Perceived Control Scale and a questionnaire were administered. Results indicated greater levels of depression, anxiety, and somatic symptoms in the spill residents in addition to greater environmental worry and lower perceived social support. Spill residents had higher blood pressure and less fluctuation of cortisol levels than controls. No difference on litigation status was obtained except on the IES, Intrusion and the POMS scales. Chemical disasters are associated with a wide variety of psychological, psychosocial, and physiological distress. |
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Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, race, and number of children. A clinical interview and physiological measurements (blood pressure, pulse, and cortisol level) were taken, the MMPI‐2, IES Scale, Mood Scale, Environmental Worry, Perceived Social Support, and Perceived Control Scale and a questionnaire were administered. Results indicated greater levels of depression, anxiety, and somatic symptoms in the spill residents in addition to greater environmental worry and lower perceived social support. Spill residents had higher blood pressure and less fluctuation of cortisol levels than controls. No difference on litigation status was obtained except on the IES, Intrusion and the POMS scales. Chemical disasters are associated with a wide variety of psychological, psychosocial, and physiological distress.</description><identifier>ISSN: 0894-9867</identifier><identifier>EISSN: 1573-6598</identifier><identifier>DOI: 10.1002/jts.2490070408</identifier><identifier>PMID: 7820352</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Acute Disease ; Adult ; Adult and adolescent clinical studies ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Blood Pressure ; Case-Control Studies ; chemical disaster ; Disasters ; environmental disaster ; Female ; Hazardous Substances - adverse effects ; Humans ; Hydrocortisone - blood ; Internal-External Control ; Interview, Psychological ; Jurisprudence ; Male ; Matched-Pair Analysis ; Medical sciences ; metam sodium ; Middle Aged ; Miscellaneous ; Pesticides - adverse effects ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychophysiologic Disorders - blood ; Psychophysiologic Disorders - diagnosis ; Psychophysiologic Disorders - epidemiology ; Psychophysiologic Disorders - prevention & control ; Psychophysiologic Disorders - psychology ; Railroads ; Severity of Illness Index ; Social Support ; Stress Disorders, Post-Traumatic - blood ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - prevention & control ; Stress Disorders, Post-Traumatic - psychology</subject><ispartof>Journal of traumatic stress, 1994-10, Vol.7 (4), p.601-624</ispartof><rights>Copyright © 1994 International Society for Traumatic Stress Studies</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4368-eb1700626d8f64f40cf5ddd9efb208f3583f5ae166c429178c9f1314b9f2a7413</citedby><cites>FETCH-LOGICAL-c4368-eb1700626d8f64f40cf5ddd9efb208f3583f5ae166c429178c9f1314b9f2a7413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjts.2490070408$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjts.2490070408$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4253590$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7820352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bowler, Rosemarie M.</creatorcontrib><creatorcontrib>Mergler, Donna</creatorcontrib><creatorcontrib>Huel, Guy</creatorcontrib><creatorcontrib>Cone, James E.</creatorcontrib><title>Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster</title><title>Journal of traumatic stress</title><addtitle>J. Traum. Stress</addtitle><description>Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, race, and number of children. A clinical interview and physiological measurements (blood pressure, pulse, and cortisol level) were taken, the MMPI‐2, IES Scale, Mood Scale, Environmental Worry, Perceived Social Support, and Perceived Control Scale and a questionnaire were administered. Results indicated greater levels of depression, anxiety, and somatic symptoms in the spill residents in addition to greater environmental worry and lower perceived social support. Spill residents had higher blood pressure and less fluctuation of cortisol levels than controls. No difference on litigation status was obtained except on the IES, Intrusion and the POMS scales. Chemical disasters are associated with a wide variety of psychological, psychosocial, and physiological distress.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Case-Control Studies</subject><subject>chemical disaster</subject><subject>Disasters</subject><subject>environmental disaster</subject><subject>Female</subject><subject>Hazardous Substances - adverse effects</subject><subject>Humans</subject><subject>Hydrocortisone - blood</subject><subject>Internal-External Control</subject><subject>Interview, Psychological</subject><subject>Jurisprudence</subject><subject>Male</subject><subject>Matched-Pair Analysis</subject><subject>Medical sciences</subject><subject>metam sodium</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Pesticides - adverse effects</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychophysiologic Disorders - blood</subject><subject>Psychophysiologic Disorders - diagnosis</subject><subject>Psychophysiologic Disorders - epidemiology</subject><subject>Psychophysiologic Disorders - prevention & control</subject><subject>Psychophysiologic Disorders - psychology</subject><subject>Railroads</subject><subject>Severity of Illness Index</subject><subject>Social Support</subject><subject>Stress Disorders, Post-Traumatic - blood</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - prevention & control</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><issn>0894-9867</issn><issn>1573-6598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLtvFDEQxi0ECpdAS4fkAlFlD78fJYrgDogggiBKy-u1OYd9XOxdwf73OLnlEBXVzHh-38z4A-AZRmuMEHl1M-Y1YRohiRhSD8AKc0krwbV6CFZIaVZpJeRjcJrzDUJIKa1OwIlUBFFOVmC6yrPbDe3wPTrbnsP9fZkHF-8q2zfLy3435_gHg9nfTr61HsYeWuiGrpv6OM7QhuDd6BtYlxwmG9s02Aa6ne_udU3MNo8-PQGPgm2zf7rEM_D17Zvri211-Wnz7uL1ZeUYFaryNZYICSIaFQQLDLnAm6bRPtQEqUC5ooFbj4VwjGgsldMBU8xqHYiVDNMz8PIwd5-GcnEeTRez821rez9M2RQl1orrAq4PoEtDzskHs0-xs2k2GJk7n03x2fz1uQieL5OnuvPNEV-MLf0XS9_m8vOQbO9iPmKMcMo1Kpg-YD9j6-f_LDXvr7_8c0J10MZi6a-j1qYfRkgqufn2cWM2V1vxmcsPZkt_A2Nlp4U</recordid><startdate>199410</startdate><enddate>199410</enddate><creator>Bowler, Rosemarie M.</creator><creator>Mergler, Donna</creator><creator>Huel, Guy</creator><creator>Cone, James E.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>199410</creationdate><title>Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster</title><author>Bowler, Rosemarie M. ; Mergler, Donna ; Huel, Guy ; Cone, James E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4368-eb1700626d8f64f40cf5ddd9efb208f3583f5ae166c429178c9f1314b9f2a7413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Blood Pressure</topic><topic>Case-Control Studies</topic><topic>chemical disaster</topic><topic>Disasters</topic><topic>environmental disaster</topic><topic>Female</topic><topic>Hazardous Substances - adverse effects</topic><topic>Humans</topic><topic>Hydrocortisone - blood</topic><topic>Internal-External Control</topic><topic>Interview, Psychological</topic><topic>Jurisprudence</topic><topic>Male</topic><topic>Matched-Pair Analysis</topic><topic>Medical sciences</topic><topic>metam sodium</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Pesticides - adverse effects</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychophysiologic Disorders - blood</topic><topic>Psychophysiologic Disorders - diagnosis</topic><topic>Psychophysiologic Disorders - epidemiology</topic><topic>Psychophysiologic Disorders - prevention & control</topic><topic>Psychophysiologic Disorders - psychology</topic><topic>Railroads</topic><topic>Severity of Illness Index</topic><topic>Social Support</topic><topic>Stress Disorders, Post-Traumatic - blood</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - prevention & control</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bowler, Rosemarie M.</creatorcontrib><creatorcontrib>Mergler, Donna</creatorcontrib><creatorcontrib>Huel, Guy</creatorcontrib><creatorcontrib>Cone, James E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of traumatic stress</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bowler, Rosemarie M.</au><au>Mergler, Donna</au><au>Huel, Guy</au><au>Cone, James E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster</atitle><jtitle>Journal of traumatic stress</jtitle><addtitle>J. Traum. Stress</addtitle><date>1994-10</date><risdate>1994</risdate><volume>7</volume><issue>4</issue><spage>601</spage><epage>624</epage><pages>601-624</pages><issn>0894-9867</issn><eissn>1573-6598</eissn><abstract>Psychological, psychosocial, and psychophysiological sequelae were studied in a community which had experienced a railroad chemical spill of 19,000 gallons of the toxic pesticide metam sodium. Two hundred twenty exposed residents were compared to 114 controls and paired on age, education, gender, race, and number of children. A clinical interview and physiological measurements (blood pressure, pulse, and cortisol level) were taken, the MMPI‐2, IES Scale, Mood Scale, Environmental Worry, Perceived Social Support, and Perceived Control Scale and a questionnaire were administered. Results indicated greater levels of depression, anxiety, and somatic symptoms in the spill residents in addition to greater environmental worry and lower perceived social support. Spill residents had higher blood pressure and less fluctuation of cortisol levels than controls. No difference on litigation status was obtained except on the IES, Intrusion and the POMS scales. Chemical disasters are associated with a wide variety of psychological, psychosocial, and physiological distress.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>7820352</pmid><doi>10.1002/jts.2490070408</doi><tpages>24</tpages></addata></record> |
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subjects | Acute Disease Adult Adult and adolescent clinical studies Anxiety disorders. Neuroses Biological and medical sciences Blood Pressure Case-Control Studies chemical disaster Disasters environmental disaster Female Hazardous Substances - adverse effects Humans Hydrocortisone - blood Internal-External Control Interview, Psychological Jurisprudence Male Matched-Pair Analysis Medical sciences metam sodium Middle Aged Miscellaneous Pesticides - adverse effects Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychophysiologic Disorders - blood Psychophysiologic Disorders - diagnosis Psychophysiologic Disorders - epidemiology Psychophysiologic Disorders - prevention & control Psychophysiologic Disorders - psychology Railroads Severity of Illness Index Social Support Stress Disorders, Post-Traumatic - blood Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - prevention & control Stress Disorders, Post-Traumatic - psychology |
title | Psychological, psychosocial, and psychophysiological sequelae in a community affected by a railroad chemical disaster |
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